PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2012 2013 2014
PATH and Tenke Fungurume Mining (TFM), in coordination with the Government of the Democratic Republic of Congo (DRC), will develop a programmatic partnership under USAIDs Global Development Alliance (GDA) mechanism to reduce HIV risk and mitigate its impact on communities in the Fungurume Health Zone (FHZ) and the town of Kasumbalesa in the Katanga Province of DRC. To help TFM expand the reach of HIV prevention, care, support, information, and services beyond its workers, PATH will provide a range of technical assistance to reach the wider community of Fungurume as well as Kasumbalesa. The projects objectives center around establishing a Champion Community (CC) in Fungurume through which prevention and mobilization activities will occur, providing HIV testing and increasing access to HIV/AIDS care and support services. This project will also seek to mitigate the impact of HIV/AIDS in communities along the trucking route of Fungurume to Kasumbalesa by providing targeted prevention, testing, and referral services to truck drivers, commercial sex workers (CSWs), and other high-risk individuals, including persons with disabilities, as well as to the general population within these communities.
The project will adopt the US Governments strategy of integrating care and support services into the framework of the family-centered continuum of HIV services and involve PLWHA and OVC in every step of the project. The CC will set up auto-support groups of PLWHA which will become the center of the care and support activity. They will receive support as needed, including some medical care (cotrimoxazole) and ARV adherence support and opportunistic infection control. Providers at the health facility will be responsible for the medical care of patients referred by the CC. TFM will cover the costs of drugs for sexually transmitted and opportunistic infections if there are gaps. In order to plan, TFM will coordinate with ProSANI and other programs to identify the needs.Building on local resources and capacities, the project will seek strategies to deliver low-cost, evidence-based care and support activities including nutritional counseling, psychosocial support for PLWHA and their families through support groups, home-based care, and CD4 count monitoring. Existing community support groups such as a local charity for OVC, the three Fungurume-based human rights organizations, scouts, and religious groups will be tapped. SODEXO Management, the TFM food provider, has agreed to provide nutritional support and counseling for PLWHA in need and identified by the project. SODEXO will to providing PLWHA with nutritional support in the form of limited meals, as well as training in nutrition counseling for PLWHA. Please see Attachment 3 for SODEXOs letter of intent for these contributions.
Longer-term economic strengthening activities will be fostered, where feasible, through TFMs economic development initiatives for small and micro business development. PLWHA will have access to TFM-sponsored workshops, training and mentoring in business development and in applying to the TFM Social Community Fund for grants to develop
Sexual prevention activities will be implemented targeting at risk youth through peer education using the UNAIDS "Four Knows".
The PATH-TFM GDA will initiate PITC in all facilities prioritizing TB patients, STI patients, and non-emergent-patients. With the family-centered approach, the project will target malnourished children, children of PLHIV and OVCs. mobile HTC for key poplulations will be conducted by health workers to increase linkages with care and treatment programs. customized indicators will be setted up to track these linkages in order to reduce the loss to follow-up. Quality assurance activities will occur in ProVIC-supported HCT sites via formative supervision, coaching, data analysis at the site level, as well as mystery clients and sharing of blood samples within the DRC quality assurance lab system.
The project will strengthen its key populations response with a core set of interventions for populations at high risk for HIV with a particular focus on truck drivers and sex workers in Kasumbalesa and Fungurume. These interventions comprise a package of services for key populations and for other vulnerable populations with full participation of the target key populations or other vulnerable group in the development, implementation, and monitoring of the programs. Based on the epidemiologic profile in Fungurume and Kasumbalesa, the project will scale-up a minimum, core set of interventions: peer education and outreach, risk reduction counseling, condom distribution and promotion and referrals for sexually transmitted infections screening and treatment, HIV testing and counseling, and strong linkages with care and treatment services, including PMTCT.
With the USAID Strategic Pivot and focus on the PMTCT platform, the PATH-TFM GDA will see significant changes in approach, particularly its greater focus on PMTCT and addition of new sites.
Within the Fungurume health zones, the PATH-TFM partnership will first consolidate comprehensive services within the PMTCT sites already engaged (Dipeta and Tenke) prior to expanding to new sites. Potential new sites have been identified in Fungurume, but will require training which was not previously budgeted for. The PMTCT acceleration target is 5,000 pregnant women. To achieve this target, the total number of PMTCT sites will be 4.
